Alan Whitfield
Sports Medicine
1325 E Fortification St
Jackson
, Mississippi 39202-2442
Alan Whitfield
Sports Medicine
1325 E Fortification St
Jackson
, Mississippi 39202-2442
(601) 949-9113
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Alan Whitfield
- 1325 E Fortification St
- Jackson, MS
- Zip : 39202-2442
- Fax : (601) 949-9113
- Phone : (601) 949-9110
Second Address
- Alan Whitfield
- 1325 E Fortification St
- Jackson, MS
- Zip : 39202-2442
- Fax : (601) 949-9113
- Phone : (601) 949-9110
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PT1717 | MS |
| Y | 213ES0000X | Sports Medicine | PT1717 | MS |
National Provider Identifier
| NPI | 1053334896 |
|---|---|
| Provider Name | Alan Whitfield |
| First Address | Jackson, MS 39202-2442 |
| Second Address | Jackson, MS 39202-2442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 18/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07430508 | (05) | MS |
| P00350407 | MEDICARE RR (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.